Individual
SHAKICA N BASTFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5513 MONROE RD STE 207, CHARLOTTE, NC 28212-5503
(980) 273-2726
Mailing address
5513 MONROE RD STE 207, CHARLOTTE, NC 28212-5503
(980) 273-2726
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
546940
NC
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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